National Provider Identifier [NPI]: |
1659399970 |
Last Name Of The Provider |
RAMINSKI |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
16522 S. 106 COURT |
Street Address 2 Of The Provider |
|
City Of The Provider |
ORLAND PARK |
Zip Code Of The Provider |
60467 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
115 |
Number Of Services |
15529 |
Number Of Medicare Beneficiaries |
939 |
Total Submitted Charge Amount |
1900079 |
Total Medicare Allowed Amount |
567677.9 |
Total Medicare Payment Amount |
435716.85 |
Total Medicare Standardized Payment Amount |
415816.7 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
7809 |
Number Of Medicare Beneficiaries With Drug Services |
85 |
Total Drug Submitted ChargeAmount |
302862 |
Total Drug Medicare AllowedAmount |
86464.16 |
Total Drug Medicare PaymentAmount |
67737.73 |
Total Drug Medicare Standardized Payment Amount |
67737.73 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
107 |
Number Of Medical Services |
7720 |
Number Of Medicare Beneficiaries With Medical Services |
939 |
Total Medical Submitted Charge Amount |
1597217 |
Total Medical Medicare Allowed Amount |
481213.74 |
Total Medical Medicare Payment Amount |
367979.12 |
Total Medical Medicare Standardized Payment Amount |
348078.97 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
38 |
Number Of Beneficiaries Age 65 to 74 |
384 |
Number Of Beneficiaries Age 75 to 84 |
328 |
Number Of Beneficiaries Age Greater 84 |
189 |
Number Of Female Beneficiaries |
193 |
Number Of Male Beneficiaries |
746 |
Number Of Non Hispanic White Beneficiaries |
880 |
Number Of Black or African American Beneficiaries |
25 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
20 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
900 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
39 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
24 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3134 |